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QME Examination Final Test Questions
& Answers 2026-2027 | Complete Exam
Review (Rationales)
Document Overview
This document provides 154 complete questions with verified correct answers and detailed
rationales, covering essential California workers' compensation medical-legal evaluations.
It is suitable for comprehensive study and review, directly aligning with preparation for
QME certification and professional development in the field.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 154 Questions · September 2026
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Workers' Compensation Fundamentals
Questions covering workers' Compensation Fundamentals concepts.
Section 2: Benefits & Compensation
Questions covering benefits & Compensation concepts.
Section 3: Reporting & Documentation
Questions covering reporting & Documentation concepts.
Section 4: Medical-Legal Evaluations & Ratings
Questions covering medical-Legal Evaluations & Ratings concepts.
Section 5: Legislative Reforms & History
Questions covering legislative Reforms & History concepts.
Section 6: QME Process & Reporting
Questions covering qME Process & Reporting concepts.
Questions
QUESTION 1 OF 154
Treating physician reports and medical-legal evaluations are used to establish
Correct Answer: eligibility for benefits
Rationale: Physician reports and medical-legal evaluations provide objective medical evidence regarding a patient's
condition, work capacity, and prognosis. This documented medical information is then used by workers' compensation
boards or insurance carriers to determine if the claimant meets the criteria for various disability benefits. Therefore,
these reports are critical in establishing eligibility for benefits by substantiating the medical necessity and extent of
impairment.
QUESTION 2 OF 154
Who selects the QME
Correct Answer: Patient
Rationale: In the context of California workers' compensation, the patient, or injured worker, has the initial right to
select a Qualified Medical Evaluator (QME) within specified parameters. This selection process is governed by the
Labor Code, ensuring the injured worker has agency in obtaining an independent medical evaluation. If the worker
does not select a QME within the allotted time, the employer or their insurance carrier can then initiate the
appointment process.
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 3 OF 154
In 1913, the Boynton Act
Correct Answer: Required most employers to have workers' compensation coverage
Rationale: The Boynton Act of 1913 established a legal framework for workers' compensation in New York State,
mandating that employers provide coverage for injuries sustained by their employees during the course of
employment. This legislation shifted the burden of proof and cost from the injured worker to the employer, ensuring a
baseline level of financial and medical support. the act significantly broadened the requirement for workers'
compensation insurance across most employment sectors. This aligns with Required most employers to have workers'
compensation coverage.
QUESTION 4 OF 154
A trade-off between Employers and Employees is referred to as
Correct Answer: The Historic Compromise
Rationale: In labor economics and industrial relations, a "trade-off" between employer and employee interests often
involves concessions in one area to gain advantages in another, such as wage increases for improved working
conditions. This dynamic, particularly when it involves significant shifts in established practices or power balances, is
historically recognized as "The Historic Compromise." This term encapsulates agreements that fundamentally
reshaped the employer-employee relationship by balancing competing demands and expectations.
QUESTION 5 OF 154
The employer provides workers' compensation BENEFITS
Correct Answer: regardless of fault
Rationale: Workers' compensation is a no-fault insurance system designed to provide benefits to employees injured
on the job. This system ensures that injured workers receive medical care and wage replacement benefits without the
need to prove employer negligence. Therefore, benefits are provided regardless of fault.
QUESTION 6 OF 154
The employer is required to pay benefits no matter who caused the injury, as long as the
injury is
Correct Answer: AOE/COE
Rationale: AOE/COE, the principle of "arising out of employment" (AOE) and "in the course of employment" (COE)
establishes that an injury is compensable if it originates from the work environment and occurs while the employee is
performing work-related duties. This legal standard dictates employer liability for benefits regardless of fault,
focusing solely on the causal link between employment and the injury. Therefore, the injury must meet both AOE and
COE criteria for the employer to be obligated to pay benefits.
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 7 OF 154
Unlawful discrimination for reporting a work injury is protected under
Correct Answer: L.C. 132a
Rationale: Labor Code section 132a specifically prohibits employers from discriminating against employees who
report a work injury or file a workers' compensation claim. This provision ensures that workers are protected from
retaliation for exercising their rights under the workers' compensation system. Therefore, unlawful discrimination for
reporting a work injury falls under the protection of L.C. This aligns with L.C. 132a.
QUESTION 8 OF 154
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for
Correct Answer: the first three (3) days
Rationale: the first three (3) days, Temporary Disability (TD) benefits for non-hospitalized injuries often have an
uncompensated waiting period. This waiting period, typically the first three days of disability, must be served before
TD payments can commence. Therefore, if an injured worker misses seven days, the initial three days are not paid,
aligning with the stated answer.
QUESTION 9 OF 154
Payments to compensate an employee who does not completely recover from an injury
Correct Answer: PD
Rationale: In workers' compensation, permanent disability (PD) payments are designed to compensate an employee
for lasting functional impairment that reduces their earning capacity after they have reached maximum medical
improvement. These payments acknowledge that the employee's ability to work or earn has been permanently affected
by the work-related injury. Therefore, compensation for an employee who does not completely recover, indicating a
residual impairment, falls under the category of permanent disability.
QUESTION 10 OF 154
The independent JUDICIAL BODY in California work comp is called
Correct Answer: WCAB
Rationale: The Workers' Compensation Appeals Board (WCAB) serves as the independent judicial body within
California's workers' compensation system. It adjudicates disputes and makes final decisions on workers'
compensation claims. Therefore, WCAB is the correct designation for this entity.
QUESTION 11 OF 154
The employer is required to pay for "medical, surgical, chiropractic and hospital
treatment... which is reasonably required ____ from the effects of the injury
Correct Answer: to cure OR relieve
Rationale: Workers' compensation statutes mandate that employers cover medical treatment that is reasonably
necessary to cure the injury or relieve its effects. This legal standard establishes the scope of employer liability for
medical care arising from a work-related injury. Therefore, the phrase "to cure OR relieve" accurately defines the
employer's obligation.
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
QME Examination Final Test Questions
& Answers 2026-2027 | Complete Exam
Review (Rationales)
Document Overview
This document provides 154 complete questions with verified correct answers and detailed
rationales, covering essential California workers' compensation medical-legal evaluations.
It is suitable for comprehensive study and review, directly aligning with preparation for
QME certification and professional development in the field.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 154 Questions · September 2026
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Workers' Compensation Fundamentals
Questions covering workers' Compensation Fundamentals concepts.
Section 2: Benefits & Compensation
Questions covering benefits & Compensation concepts.
Section 3: Reporting & Documentation
Questions covering reporting & Documentation concepts.
Section 4: Medical-Legal Evaluations & Ratings
Questions covering medical-Legal Evaluations & Ratings concepts.
Section 5: Legislative Reforms & History
Questions covering legislative Reforms & History concepts.
Section 6: QME Process & Reporting
Questions covering qME Process & Reporting concepts.
Questions
QUESTION 1 OF 154
Treating physician reports and medical-legal evaluations are used to establish
Correct Answer: eligibility for benefits
Rationale: Physician reports and medical-legal evaluations provide objective medical evidence regarding a patient's
condition, work capacity, and prognosis. This documented medical information is then used by workers' compensation
boards or insurance carriers to determine if the claimant meets the criteria for various disability benefits. Therefore,
these reports are critical in establishing eligibility for benefits by substantiating the medical necessity and extent of
impairment.
QUESTION 2 OF 154
Who selects the QME
Correct Answer: Patient
Rationale: In the context of California workers' compensation, the patient, or injured worker, has the initial right to
select a Qualified Medical Evaluator (QME) within specified parameters. This selection process is governed by the
Labor Code, ensuring the injured worker has agency in obtaining an independent medical evaluation. If the worker
does not select a QME within the allotted time, the employer or their insurance carrier can then initiate the
appointment process.
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 3 OF 154
In 1913, the Boynton Act
Correct Answer: Required most employers to have workers' compensation coverage
Rationale: The Boynton Act of 1913 established a legal framework for workers' compensation in New York State,
mandating that employers provide coverage for injuries sustained by their employees during the course of
employment. This legislation shifted the burden of proof and cost from the injured worker to the employer, ensuring a
baseline level of financial and medical support. the act significantly broadened the requirement for workers'
compensation insurance across most employment sectors. This aligns with Required most employers to have workers'
compensation coverage.
QUESTION 4 OF 154
A trade-off between Employers and Employees is referred to as
Correct Answer: The Historic Compromise
Rationale: In labor economics and industrial relations, a "trade-off" between employer and employee interests often
involves concessions in one area to gain advantages in another, such as wage increases for improved working
conditions. This dynamic, particularly when it involves significant shifts in established practices or power balances, is
historically recognized as "The Historic Compromise." This term encapsulates agreements that fundamentally
reshaped the employer-employee relationship by balancing competing demands and expectations.
QUESTION 5 OF 154
The employer provides workers' compensation BENEFITS
Correct Answer: regardless of fault
Rationale: Workers' compensation is a no-fault insurance system designed to provide benefits to employees injured
on the job. This system ensures that injured workers receive medical care and wage replacement benefits without the
need to prove employer negligence. Therefore, benefits are provided regardless of fault.
QUESTION 6 OF 154
The employer is required to pay benefits no matter who caused the injury, as long as the
injury is
Correct Answer: AOE/COE
Rationale: AOE/COE, the principle of "arising out of employment" (AOE) and "in the course of employment" (COE)
establishes that an injury is compensable if it originates from the work environment and occurs while the employee is
performing work-related duties. This legal standard dictates employer liability for benefits regardless of fault,
focusing solely on the causal link between employment and the injury. Therefore, the injury must meet both AOE and
COE criteria for the employer to be obligated to pay benefits.
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 7 OF 154
Unlawful discrimination for reporting a work injury is protected under
Correct Answer: L.C. 132a
Rationale: Labor Code section 132a specifically prohibits employers from discriminating against employees who
report a work injury or file a workers' compensation claim. This provision ensures that workers are protected from
retaliation for exercising their rights under the workers' compensation system. Therefore, unlawful discrimination for
reporting a work injury falls under the protection of L.C. This aligns with L.C. 132a.
QUESTION 8 OF 154
If the injured worker is not hospitalized and misses seven (7) days of work he/she is not
paid TD for
Correct Answer: the first three (3) days
Rationale: the first three (3) days, Temporary Disability (TD) benefits for non-hospitalized injuries often have an
uncompensated waiting period. This waiting period, typically the first three days of disability, must be served before
TD payments can commence. Therefore, if an injured worker misses seven days, the initial three days are not paid,
aligning with the stated answer.
QUESTION 9 OF 154
Payments to compensate an employee who does not completely recover from an injury
Correct Answer: PD
Rationale: In workers' compensation, permanent disability (PD) payments are designed to compensate an employee
for lasting functional impairment that reduces their earning capacity after they have reached maximum medical
improvement. These payments acknowledge that the employee's ability to work or earn has been permanently affected
by the work-related injury. Therefore, compensation for an employee who does not completely recover, indicating a
residual impairment, falls under the category of permanent disability.
QUESTION 10 OF 154
The independent JUDICIAL BODY in California work comp is called
Correct Answer: WCAB
Rationale: The Workers' Compensation Appeals Board (WCAB) serves as the independent judicial body within
California's workers' compensation system. It adjudicates disputes and makes final decisions on workers'
compensation claims. Therefore, WCAB is the correct designation for this entity.
QUESTION 11 OF 154
The employer is required to pay for "medical, surgical, chiropractic and hospital
treatment... which is reasonably required ____ from the effects of the injury
Correct Answer: to cure OR relieve
Rationale: Workers' compensation statutes mandate that employers cover medical treatment that is reasonably
necessary to cure the injury or relieve its effects. This legal standard establishes the scope of employer liability for
medical care arising from a work-related injury. Therefore, the phrase "to cure OR relieve" accurately defines the
employer's obligation.
QME Examination Final Test Questions & Answers 2026-2027 | Complete Exam Review (Rationales) - Practice Questions Page 0
